Achilles Tendonitis Treatments

Treatment for Achilles Tendon Pain in the Back of the Heel

Diagnosis of Heel Pain Achilles Tendonitis can often be diagnosed in a podiatry office with a thorough clinical exam. If it is hard to tell by inspection, then ultrasound or MRI can be useful. First we must make sure there is not an acute rupture of the achilles tendon. An excellent test is the calf squeeze test.Next we test for what causes pain to the tendon. Even single‐leg heel raises are sufficient to cause pain. True tendon pain is almost always found just in the tendon itself. It is important to rule out other diagnoses such as  impingement of the back of the ankle, peroneal tendonitis, dilocation of flexor tendons,  os trigonum syndrome, an accessory soleus muscle, nerve irritation or systemic problems like autoimmune conditions or lower back problems that may refer pain. Treatment of tendonopathy in the foot There are many marginally effective treatments offered for the care of painful tendons: Cortisone injections physical therapy with eccentric exercise glyceryl trinitrate patches electrical stim, ultrasound, electrotherapy (microcurrent and microwave) sclerosing injections non‐steroidal anti‐inflammatory drugs (NSAIDs).  However my favorites include conservative treatments as the initial treatment. They consists of a many faceted approach that may include a combination of rest (complete or modified activity), casting,medication (NSAIDs, corticosteroids), orthotic treatment (heel lift, change of shoes, corrections of misalignments), stretching and strength training.  It has been a general opinion that in about 25% of patients with chronic painful conditions located in the Achilles tendon, non‐surgical treatment is not successful and surgical treatment is needed. Before surgery for these resistant cases, ESWT, extracorporeal shock wave therapy has been found to be very effective . This has saved many patients from surgery. My treatments follow a step wise reasoned clinical path based on safety and effectiveness. Each patient gets a personalized approach based on their own unique circumstances. Different patients depending on age, job, activity, athleticism follow different paths. Acute and chronic presentations of achilles tendonitis are also treated differently.  Non‐operative treatment methods Extracorporeal shock wave therapy Rest, NSAIDs, modification of shoes, orthotics, and physical therapy  are successful in approximately 90% of those with mid‐tendon pain and pathology. Insertional Achilles tendon pain is much harder to treat and good clinical results are achieved in approximately 30% of tendons with normal treatments. ESWT is a great alternative for these patients.   READY TO SCHEDULE AN APPOINTMENT? Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA Call now to talk to a foot care specialist 878-313-3338 ( FEET) Click Here to E-mail Dr. Christina Teimouri DISCLAIMER: email and contact forms not Monitored for emergencies; if you are having an emergency call 911. Existing patients please call our office directly with any important questions.    

Diagnosis of Heel Pain

Achilles Tendonitis can often be diagnosed in a podiatry office with a thorough clinical exam. If it is hard to tell by inspection, then ultrasound or MRI can be useful.

First we must make sure there is not an acute rupture of the achilles tendon. An excellent test is the calf squeeze test.Next we test for what causes pain to the tendon. Even single‐leg heel raises are sufficient to cause pain.

True tendon pain is almost always found just in the tendon itself. It is important to rule out other diagnoses such as  impingement of the back of the ankle, peroneal tendonitis, dilocation of flexor tendons,  os trigonum syndrome, an accessory soleus muscle, nerve irritation or systemic problems like autoimmune conditions or lower back problems that may refer pain.

Treatment of tendonopathy in the foot

There are many marginally effective treatments offered for the care of painful tendons:

Cortisone injections

physical therapy with eccentric exercise

glyceryl trinitrate patches

electrical stim, ultrasound, electrotherapy (microcurrent and microwave)

sclerosing injections

non‐steroidal anti‐inflammatory drugs (NSAIDs). 

However my favorites include conservative treatments as the initial treatment. They consists of a many faceted approach that may include a combination of rest (complete or modified activity), casting,medication (NSAIDs, corticosteroids), orthotic treatment (heel lift, change of shoes, corrections of misalignments), stretching and strength training.

 It has been a general opinion that in about 25% of patients with chronic painful conditions located in the Achilles tendon, non‐surgical treatment is not successful and surgical treatment is needed. Before surgery for these resistant cases, ESWT, extracorporeal shock wave therapy has been found to be very effective . This has saved many patients from surgery.

My treatments follow a step wise reasoned clinical path based on safety and effectiveness. Each patient gets a personalized approach based on their own unique circumstances. Different patients depending on age, job, activity, athleticism follow different paths. Acute and chronic presentations of achilles tendonitis are also treated differently. 

Non‐operative treatment methods

Extracorporeal shock wave therapy

Rest, NSAIDs, modification of shoes, orthotics, and physical therapy  are successful in approximately 90% of those with mid‐tendon pain and pathology. Insertional Achilles tendon pain is much harder to treat and good clinical results are achieved in approximately 30% of tendons with normal treatments. ESWT is a great alternative for these patients.

 

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies; if you are having an emergency call 911. Existing patients please call our office directly with any important questions.

 

 

Treatment of Painful Tumors of the Foot

How to treat foot tumors...in Pittsburgh

Ganglion Tumors, Mucoid Cysts, Neuroma Treatment The fact that most tumors of the foot are benign can be a problem- we rely on statistics instead of making sure. If you have a foot tumor, please have it checked out. It may be much simpler than you thought to easily remove it! Below are some common tumors we can easily remove in the office in under a half hour with a little novacaine. This allows accurate diagnosis and a more comfortable foot for you!  

Ganglion Tumors, Mucoid Cysts, Neuroma Treatment

The fact that most tumors of the foot are benign can be a problem- we rely on statistics instead of making sure. If you have a foot tumor, please have it checked out. It may be much simpler than you thought to easily remove it!

Below are some common tumors we can easily remove in the office in under a half hour with a little novacaine. This allows accurate diagnosis and a more comfortable foot for you!

 

#1 A digital mucoid cyst is often found near a nail bed, or on the toe. It can become irritated by shoes and the skin is fragile and can easily break open, making infection a common complication. 

#1 A digital mucoid cyst is often found near a nail bed, or on the toe. It can become irritated by shoes and the skin is fragile and can easily break open, making infection a common complication. 

This is a small soft tissue tumor near the ankle, on a foot. It was located just under the skin and was easily removed in a matter of minutes with just three tiny stitches. Patient was back in regular shoes and normal activities in under 2 weeks.

3cm large ganglion on the lateral size of the midfoot. Despite being drained multiple times, the tumor recurred and grew to the point that it made shoes uncomfortable. Removal was accomplished in under a half hour in the office. 

3cm large ganglion on the lateral size of the midfoot. Despite being drained multiple times, the tumor recurred and grew to the point that it made shoes uncomfortable. Removal was accomplished in under a half hour in the office. 

READY TO SCHEDULE AN APPOINTMENT to have your tumor or cyst evaluated?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

Crooked Toes and What Can I Do About Them

Treatments for Hammertoes in Pittsburgh

 

  • Do your toes rub in your shoes?https://www.bvfootclinic.com/corns-and-calluses-2/
  • Are there sore red spots on your toe knuckles?
  • Do you suffer from corns and callouses?

There are simple office procedures that can help solve all these problems!

You Don't have to live with toe pain.

You Don't have to live with toe pain.

 

What Is A Hammer Toe?

Most commonly affecting the baby toe or a second toe that is a bit longer than the others, a hammer toe is a genetically inherited conditions where the toes are bent and can be very painful.

 

Symptoms Of Hammer Toes

For most people, unless you wear tight dress shoes, hammertoes are not a problem. But people that do dress up for work or play know what the symptoms of hammertoes are all too well! Redness at the bent knuckles, soreness where the toe rubs the shoe, and sometimes painful corns or calluses are common hammertoe symptoms. Sometimes the corns appear between the baby toe and the 4th toes and may even rub a hole in the skin, called an ulcer.

Diabetics, patients with poor circulation, and those with neuropathy are at particular risk, and may not even realize it. A small hole in the skin can lead to an infection, amputation of the toe, or even the foot.

Seek Hammer toe Treatment from a Board Certified Podiatrist

Home remedies can be dangerous; see a podiatrist if:
•    Painful ball of the foot
•    Unsightly appearance
•    painful walking in shoes

•    shoes don't fit, or toes are cramped

•    Worsening toe deformity
•    Toe pain or redness on the knuckle  

Non-surgical Treatments for Hammer Toes

As soon as you realize you have a problem with your toes, call a podiatrist. She can help you find non-operative treatments for hammer toes, or claw toes, and are geared toward decreasing spain (and/or calluses) andkeeping you from developing a much worse problem.

Simple home treatments you can do immediately are:
•    Wear a wide comfortable , more squared toe box
•    Use an arch support or wear supportive shoes
•    cut back on activities that cause pain
•    offload callused areas
•    apply exfoliative callus cream daily, available through your podiatrist( over the counter ones can be dangerous
•    Periodic care from your podiatrist

DO NOT use medicated callus pads with out first checking with your podiatrist

Non surgical care of hammertoes at a Drs office:
•    Injections
•    Toe Splints or Pads 
•    Custom Foot Orthotics
•    Anti-inflammatory Medicines
•   Physical Therapy

Hammer Toe Surgery 

Straighteningand/ or shortening of a painful hamertoe can be done in a single simple 15 minute office procedure. Walking is resumed immediately in a special shoe. Those with sitting jobs can office return to work aftera hammertoe surgery after as little as a long weekend. Call for details today!

 

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

 

Treatment for Pain in Heel, Moon Twp

Heel Pain Treatments, Pittsburgh

Plantar fasciitis affects over 5% of the population. That's 5 million Americans suffering with heel pain

If you wake up in the morning and the first steps of the day are excruciating, if you work on concrete or stand for long periods of time, you may have plantar fasciitis.

If daily activities cause pain in the heel here are some simple home tips to treat Plantar Fasciitis, Cranberry Twp.

Plantar Fascia Home Treatment: 

 

Every morning before you even take one step out of bed...STRETCH! Using a rolled up towel or a belt around the ball of your foot, straighten your knee and bend your "toes to your nose"

Reduce inflammation, swelling, and pain by applying and ice pack ( or frozen peas or corn) to the painful area on the bottom of your heel.

NSAIDS (Nonsteroidal antiinflammatory pain medication) like ibuprofen or naprosyn may help temporarily.

Arch supports (hard, not gel) will help support the bones and muscles of the foot.

Cut back on your training routine, you may be logging too many miles.

If these don't work in 2 weeks, call your podiatrist!

 

 More Plantar Fasciitis Treatments :

 

Call Beaver Valley Foot Clinic

Physical therapy helps some people but for some it either doesn't help, or makes it worse.

Night Splints help some people. they may be awkward to sleep in though.

Custom orthotics - I prefer plaster molds over stepping in foam.

If these conservative measures fail, it's time to ramp up your heel pain treatments:

A local injection of corticosteroid to reduce the painful local inflammation. This is often very effective, but can be a bit painful (for 2 seconds-it's worth it!)

ESWT- Extracorporeal Shock Wave Therapy, in which pressure waves in the form of sound waves as shock waves are directed via ultrasound guidance to the area of maximum tenderness in your plantar fascia. With experienced practitioners over 90% of thye most treatment resistant plantar fasciitis can resolve.

Surgery should be a last resort, as there are longterm considerations and many studies site only a 50% sucess rate

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

How to Treat Infected Ingrown Toenails, Pittsburgh PA

cutting a V in an ingrown toenail

Do's and Dont's of Treating Ingrown Nails

You can get into a lot of trouble treating ingrown toenails at home. Here's how:

1. Digging at the nail opens small cuts into the skin , allowing bacteria to get inside the skins protective shield, increasing your chances of infection.

2. If you remove a small part but not all of an ingrown nail, often a deep spike on the side continues to grow and can even grow out of the top of the toe flesh, creating a much more painful and harder to treat situation.

3. Home tools are often inadequately cleaned and kept in the bathroom- not the cleanest room in the house.

4. Thinking you "got it all" often delays professional treatment, again leading to worse infections and more advanced treatments.

So my advice is make an appointment with a Podiatrist as soon as you feel a problem starting. While waiting for your appointment here are a few tips on home treatment of ingrown toenails to take the edge off the pain. However, Beaver Valley Foot Clinic often has same day and next day appointments so the problem is taken care of quickly and ending your suffering immediately!

  • To reduce inflammation and tenderness, soak your toe several times a day for 10-15 minutes in lukewarm water Epsom salts help.
  • After soaking, dry the toe and apply antibiotic ointment and a bandaid to reduce local infection.
  • Wear shoes that dont press on the sore toe, like sandals or wider shoes until its better.
  • Ibuprofen or Tylenol may help temporarily, but be careful you aren't masking the pain, allowing the infection to worsen before you get treatment.

Preventing an Ingrown Toenail: 

 

  • Trim toenails even with tips of toes.  Shoe pressure can damage the nail bed.
  • Wear proper fitting shoes. Heels should not be over 1/2 inch, and the wider the toe box, the better
  • Cut your nails straight across. Don't let a salon cut your cuticles, they are important for keeping germs out.
  • Don't go barefoot outdoors. If your work puts you at risk of injuring your toes, wear protective footwear, such as steel-toed shoes.
  • Check your feet. If you have diabetes,  have a friend, or use a mirror if needed, but check your feet every day for signs of redness, scrapes or other foot problems.

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies;